Jahanzeb Chaudhry, MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225256 Issued in NY

Practice address

233 Union Ave Ste 206
Holbrook, NY 11741-1821

Phone

(631) 588-4888

Fax

(631) 588-4840

NPI assigned

Oct 26, 2006

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine and Geriatrics Associates PLLCGroup PAC ID 5193780633, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookside Multicare Nursing Center Nursing home, Smithtown, NY, CCN 335175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Optima Care Smithtown LLC

  • Skilled Nursing Facility
  • Smithtown, NY
  • NPI 1548778210

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine and Geriatrics Associates PLLC

  • General Practice Physician
  • Holbrook, NY
  • NPI 1659589273
  Medicare reassignment Care Compare group NPD Authorized official
• Internal Medicine and Geriatrics Associates PLLC

  • Internal Medicine Physician
  • Holbrook, NY
  • NPI 1235376153
  NPD
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)
• Optima Care Smithtown LLC

  • Skilled Nursing Facility
  • Smithtown, NY
  • NPI 1548778210
  NPD (past)
• Regional Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508857343
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Optima Care Smithtown LLC

  • Skilled Nursing Facility
  • Smithtown, NY
  • NPI 1548778210

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1235214271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 UNION AVE STE 206",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411821",
            "telephone_number": "631-588-4888",
            "fax_number": "631-588-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 UNION AVE STE 206",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411821",
            "telephone_number": "631-588-4888",
            "fax_number": "631-588-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "JAHANZEB",
        "name_prefix": "Dr.",
        "credential": "MD PLLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02379055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Catanzarite, PT
• Alyssa Cella, LMHC-LP, CASAC-T
• Robert J. Cella, D.D.S.
• Michele Marie Cerny, PHARM.D.
• Richard H Chanin, D.D.S.
• Simon Cheung, DDS
• Daniel Carmine Chiappetta, PT
• Alexandra Chierichella, ATC
• Church Street Acupuncture PLLC
• Gabriel Ciarlo

• Internal Medicine Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.